BEUDAMED
    FDA Adverse Event Summary report: N

    ALARIS

    MDR report key: 4161640 · Received September 30, 2014

    Report

    Report Number
    4161640
    Date Received
    September 30, 2014
    Date of Event
    April 7, 2014
    Report Date
    September 30, 2014
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    FRN
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    DOPAMINE INFUSION PUMP THAT WAS ON HOLD BEGAN TO ALARM "220" WITH THREE ARROWS POINTING UP IN THE MESSAGE SECTION. AT THE TIME THE PATIENT WAS BEING TREATED FOR TACHYCARDIA AND HYPOTENSION. THE MEDICATION WAS DISCONNECTED FROM THE PATIENT. THE NURSE WAS UNABLE TO PAUSE THE PUMP AND HAD TO SHUT DOWN THE BRAIN TO SHUT IT OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    606769 ALARIS INFUSION PUMP FRN CAREFUSION 303, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 7 MO